1. What is the major differential diagnosis for acute onset of pulmonary insufficiency? B9402037 陳名揚

2. Differential Diagnosis

3. Acute pulmonary discomfort Cardiovascular system – Acute myocardial ischemia – Congestive heart failure – Cardiac tamponade Respiratory system – Bronchospasm – Pulmonary embolism – Pneumothorax – Pulmonary infection - bronchitis, pneumonia – Upper airway obstruction - aspiration, anaphylaxis

4. Cardiovascular system Acute myocardial ischemia – substernal chest pain Congestive heart failure – edema Cardiac tamponade – Cardiac dullness

5. Respiratory system Bronchospasm – wheezing Pulmonary embolism – CT. (angiography, if it’s necessary ) Pneumothorax – X-ray Pulmonary infection - bronchitis, pneumonia Upper airway obstruction - aspiration, anaphylaxis – Hyperresonance in affected side (aspiration)

6. Reference TRALI Information Leaflet produced by the National Haemovigilance Office in conjunction with Dr Stefan Laspina, IBTS. Issued January 2003 http://www.uptodate.com/online/content/to pic.do?topicKey=copd/12483&selectedTitle=1 ~150&source=search_result#14 http://www.uptodate.com/online/content/to pic.do?topicKey=copd/12483&selectedTitle=1 ~150&source=search_result#14 Wikipedia